ALAMO HOSPICE
Provider Information
- Address
- 1595 S MAIN ST SUITE 101
BOERNE, TX 78006 - Ownership Type
- For-Profit
- Medicare Certified Since
- March 13, 2013
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 12 |
| Licensed Practical Nurses (LPN) | 3 |
| Volunteers | 0 |
28
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what ALAMO HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ALAMO HOSPICE compares to hospices nationwide.
76
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Skilled nursing on weekends81.8%
Ranks better than about 99% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life95.1%
Ranks better than about 62% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits61.3%
Ranks better than about 38% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care7%
Ranks better than about 45% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months45.1%
Ranks better than about 27% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care11.3%
Ranks better than about 30% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$17,872 · 50th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 81% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life81%
- All care steps completed100%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer18%
- Dementia32%
- Heart and circulatory disease27%
- Lung and respiratory disease8%
- Stroke5%
- Other conditions13%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Alamo Hospice
Alamo Hospice serves the Boerne area from its office on South Main Street. This provider offers end of life support for local families. They have been certified by Medicare since March of 2013. The agency holds accreditation from CHAP. This means they meet high standards for care set by an outside group. They operate as a for-profit provider in Kendall County. Choosing a hospice is a serious step for any family. You deserve to know the facts about who will care for your loved one. This provider is ready to talk with you about their specific services and availability in the Boerne region.
Provider Details
Alamo Hospice functions as a freestanding hospice agency. They employ a team of 28 people to support their patients. This team includes 12 registered nurses and 3 licensed practical nurses. These nurses provide the clinical care that patients need at home or in a facility. The agency does not currently list any volunteers on staff. CHAP accreditation shows that the agency follows strict rules for safety and quality. An outside team visits their office to check their work. This process helps ensure that they follow the best practices for hospice care. Families should feel good about choosing a team that passes these reviews. It shows they care about the rules and the people they serve.
Quality Ratings
What Is Hospice Care Like in Boerne?
Hospice care in Boerne focuses on comfort and quality of life. The goal is to manage pain and symptoms for the patient. A team of nurses and aides visits the home to offer support. They also help family members learn how to care for their loved ones. The team works together to create a plan that fits the needs of the patient. You might wonder who covers the costs for these services. Medicare pays for hospice care for those who qualify. It covers the costs of doctors, nurses, and medical supplies. This care is available wherever the patient calls home. That could be a private house or a care facility. The main thing is that your loved one stays comfortable and safe throughout their time in the program.
What to Ask When Choosing a Hospice Provider
Picking a hospice team is a big decision. Start by asking how quickly they can start services after a referral. You should also ask how their nurses handle after hours calls at night or on weekends. It is smart to ask how they handle pain management and changes in symptoms. Finally, ask what kind of support they offer to family members during this time. You deserve clear answers to every question. Do not be afraid to ask for more details if you feel confused. A good hospice provider will be patient and kind while they explain their process to you. Make sure you talk to them about your specific needs before you sign anything.
Preserve Your Family Stories
Your loved one has a life full of memories that deserve to be kept safe for future generations to cherish.
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